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1639641590
DESIRAE LAYNE NICKS
TACOMA, WA
NPI
1639641590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60864058)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
DESIRAE LAYNE NICKS CG60864058
3901 S FIFE ST STE 301
TACOMA, WA 98409-7309
Phone number: 253-625-4422
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Mailing Address
DESIRAE LAYNE NICKS CG60864058
3901 S FIFE ST STE 301
TACOMA, WA 98409-7309
Phone number: 253-625-4422
Copy
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